Adolescent Health Issues

Question 1

Adolescence: ____ through 20 years of age

Answer 1

12

Question 2

Adolescence is a bridge from school age to ______

Answer 2

adulthood

Question 3

_____ adolescence is 12 to 14 years?

Answer 3

Early

Question 4

______ adolescence is 15 to 17 years?

Answer 4

Middle

Question 5

____ adolescence is 18 to 20 years?

Answer 5

Late

Question 6

The physical finding of adolescence:

a) This is a rapid change in the _____, skeletal, muscular, and cardiovascular systems
b) Secondary sexual characteristic development
c) Peak height velocity (PHV)- growth spurt

Answer 6

reproductive

Question 7

The cognitive aspect of adolescence:

a) Sense of _______
b) Narcissism

Answer 7

identify

Question 8

Well, Child Check (WCC) is composed of several components:

a) elimination (laxatives, diuretics)
b) developmental
c) Risk factors/ behaviors
d) _____ activities and reproductive issues: gender issues
e) Concerns and worries: current and recent stressors
f) Specific questions to ask when alone with parents

Answer 8

Sexual

Question 9

Development of WCC include:

a) Mental/ emotional health
b) _____ performance and attendance; friends and relationships
c) Family functioning
d) hobbies and activities
e) work
f) stress, anger management, and coping skills
g) Injury to self or others

Answer 9

School

Question 10

Adolescent Health of specific questions to ask when alone with parents:

a) Family _________ patterns and relationship
b) description of adolescent’s strong and weak points, attitudes, and behavior
c) discipline practices and response
d) specific concerns and worries about the adolescent

Answer 10

communication

Question 11

Adolescent Health Objective date Physical examination:
Observation of the parent/adolescent interactions
1) Is the parent supportive of the adolescent?
2) Does the parent allow the adolescent to ____ questions?

Answer 11

answer

Question 12

Physical examination includes:

1) Observe the parent/adolescent interactions
2) _______ ____ ____ (BMI)
3) Assessment for scoliosis
4) Tanner staging
5) Observe for STIs
6) Pelvic exam
7) Breast self exam (BSE)
8) Testicular self-exam (TSE)

Answer 12

Body Mass Index

Question 13

Adolescence look for scoliosis (( until ___ years after PHV (Peak height velocity))

Answer 13

2

Question 14

Ankylosis _____ symptoms often appear in early adulthood, caused by reduced flexibility of the spine and hunched forward curvature

Answer 14

Spondylitis

Question 15

In adolescents with pelvic exams if sexually active you will see what?

Answer 15

irregular menses

Question 16

What laboratory get from adolescents?

1) ______ as needed
2) Syphilis test (______), gonorrhea test (GC), chlamydia, and human immunodeficiency virus (HIV) if sexually active or history of sexual abuse

Answer 16

1) Hematocrit

2) VDRL ( Venereal disease research laboratory)

Question 17

Pap smear if a pelvic exam is performed, begin at age ____

Answer 17

21

Question 18

_______ function test if history of drug usage

Answer 18

Liver

Question 19

_____ if indicated (family history dyslipidemia or premature cardiac disease (biological parents and or grandparents with cardiac event ( such as an MI) Prior to the age of ___ years

Answer 19

Cholesterol

55 years

Question 20

Immunization with adolescents (completion of vaccine series):

a) Meningococcal vaccine
b) ______
c) Human Papillomavirus (HPV)

Answer 20

Tdap

Question 21

Dental assessment and cleaning in adolescent every ____ months

Answer 21

6

Question 22

The interview of the adolescent may use ____ and visuals

Answer 22

diagrams

Question 23

May need to structure part of the _____ alone

Answer 23

interview

Question 24

May not want to ____ in front of parent

Answer 24

talk

Question 25

Encourage teenager for expression of ____ and concerns

Answer 25

feelings

Question 26

Interview the adolescent while _____ clothed

Answer 26

fully

Question 27

Maximize the interview: a) adolescent is ________ seeking b) Maybe rebellious c) is often _______ d) is refining sex role and sexuality e) trying to be independent

Answer 27

a) identity | c) inflexible

Question 28

General Strategy for adolescent interview a) ______ b) PACES c) SAFETEENS d) CRAFFT

Answer 28

a) HEADSS

Question 29

HEADSS format a) ________ environment b) Emplyment and education c) Activities d) Drugs e) Social f) Sexuality

Answer 29

Home

Question 30

PACES format a) Parents, peers b) _____________ c) Cigarettes d) Emotional issues e) School; sexuality

Answer 30

b) Accident, alcohol/drugs

Question 31

SAFETEENS format a) Sexuality b) Accident, abuse c) firearms, homicide d) ________ (suicide/ depression) e) Toxins (tobacco/alcohol, others) f) environment ( school, home, friends) g) exercise h) nutrition i) shots ( immunization status and school performance)

Answer 31

d) emotions

Question 32

CRAFFT screening tool a) Have you ever ridden in a **____** driven by someone (including yourself) using alcohol/drugs? b) Do you ever use alcohol/drug to **Relax**, feel better, or fit in? c) Do you ever use alcohol/drugs while you are **Alone** d) Do you ever **Forget** things you did while using alcohol/drugs? e) Do family or ** Friends** ever tell you that you should cut down on alcohol/drug use? f) Have you gotten into **Trouble** while using alcohol /drugs?

Answer 32

a) Car

Question 33

_______ in males may be caused by marijuana intake, anabolic steroids, alcohol, antidepressants, among others.

Answer 33

Gynecomastia

Question 34

Vision and hearing screen at each visit | a) Visual acuity: ______; may alter with hormone surging

Answer 34

20/20

Question 35

____ ___ each adolescent visit

Answer 35

Vital signs

Question 36

Physical exam proceeds from ____ to ____

Answer 36

head to foot

Question 37

___ ____ ____ (SMR) is obtained by taking the average from both Tanner stage rates (genital/breast + public hair development)

Answer 37

Sexual maturity rating

Question 38

Secondary characteristics of a boy: 1) ______ 2) Enlargement of scrotum and testes: scrotum roughens and reddens 3) Penis elongates 4) Penis enlarges in breadth and development of glans; rugae appear

Answer 38

Preadolescent testes, scrotum, penis

Question 39

Breast Development in Girls: 1) Preadolescent breast 2) Breast buds with areolar _______ 3) Breast enlargement with separate nipple contour 4) Areola and nipple project as a secondary mound 5) Alt breast: Areola recedes, nipple retracts

Answer 39

2) enlargement

Question 40

Pubic Hair: For Males in females 1) Preadolescent 2) _____, pale, fine 3) Darker, increased amount, curlier 4) Adult in character but not as voluminous 5) Adult pattern

Answer 40

2) Sparse

Question 41

____ reached: associated with Tanner staging

Answer 41

PHV

Question 42

Progresses from "long and ___" to adult appearance (musculoskeletal development)

Answer 42

gangly

Question 43

Female menses" _____ between breast development stages 3 to 4; predominantly at sage 4

Answer 43

Menarche

Question 44

Males begin _____ emissions; spermarche occurs shortly after genial stage 3

Answer 44

nocturnal

Question 45

The onset of puberty before age ____ in girls and 9 in boys is precocious puberty

Answer 45

8

Question 46

Cognitive Development: Adolescent 1) Erikson's identity vs. role confession stage 2) _______ abstract thinking stage a) Cognitive ability progresses to adulthood b) Younger adolescent daydreams; trouble staying focused 3) As Adolescence progresses, becomes creative 4) Enjoys intellectual challenge 5) Use humor and formal thought

Answer 46

Piaget's

Question 47

Psychosocial development _____ ______: Adolescent a) conforms to peer groups b) characterized by parent/child conflict c) expressed anger

Answer 47

Younger adolescence

Question 48

Psychosocial development _____ _____: Adolescent a) Less emotionally labile b) continues to develop independence c) re-established rapport with parents d) more interested in the opposite sex e) a better sense of self-esteem, confidence

Answer 48

Older adolescence

Question 49

_______ guidance with adolescent partners remain as the primary influence.

Answer 49

Anticipatory

Question 50

Discipline: Adolescent a) _______ is essential; allow some flexibility on less important issues b) Adults must be role models

Answer 50

Negotiation

Question 51

Developmental Discussion/Guidance in adolescent a) Parents remain as the primary influence b) Discipline c) _______ honesty d) respect need for privacy e) Be aware of television programming and internet activity f) Expect histrionics in young adolescents

Answer 51

Reinforce

Question 52

Nutrition/ feeding in adolescence: a) nutritional requirements are _____ than adults b) minimize " junk food" c) encourage regular meals d) monitor ______ diets e) discuss dieting

Answer 52

a) higher | d) vegetarian

Question 53

Dental Health: Adolescent a) Brushing after ______ and before bed b) dental cleaning every 6 months c) Encourage flossing

Answer 53

meals

Question 54

Sexuality: Adolescent a) Increased interest in the opposite sex b) Established communication about sexually transmitted infections and HIV/AIDS c) Prepare for body changes, ______, or nocturnal emissions d) Give accurate information about sex, disease prevention, and pregnancy preventions e) Gender identify issues

Answer 54

Menstruation

Question 55

Preventive Health issues: a) Mental Health (____ ___ ___) b) Gange activity

Answer 55

depression and suicide

Question 56

Developmental Warning sings: Adolescence a) CHange in school performance, friendships, sleeping, or eating b) Apparent ______ changes c) Difficulty accepting failure d) talk of suicide e) withdrawal from friends or family

Answer 56

b) personality

Question 57

_____ ___ is characterized by eating disturbances, weight loss, and refusal to maintain body weight at 85% of expected weight for height; amenorrhea ensues

Answer 57

Anorexia Nervosa

Question 58

____ ___ is characterized by episodic binge and purge episodes

Answer 58

Bulimia nervosa

Question 59

Nervosa cause is not clearly defined but is believed to arise from familial issues, social pressure ____ self-esteem, and a desire for control

Answer 59

low

Question 60

Peak incidences are at age __ to 18 years for Nervosa?

Answer 60

14

Question 61

Overall, mortality is as high as ___% as a combination of suicide and consequential death with Nervosa

Answer 61

10%

Question 62

Signs and symptoms of Nervosa are: a) weight loss b) ______ c) amenorrhea d) dry skin e) constipation f) low vital signs g) lanugo h) evidence of self- induced vomiting (tooth enamel erosion) i) Changes in gums and erosions of tooth enamel j) _____ sign: bruising knuckles k) Nail discoloration

Answer 62

b) Anemia | J) Russell's

Question 63

Differential Diagnosis for eating disorder in an adolescent: a) Organic disease-producing weight loss b) _______ c) depression d) substance abuse

Answer 63

Pregnancy

Question 64

< 20% below ideal body weight

Answer 64

Mild malnutrition

Question 65

< 30 % below IBW

Answer 65

Severe malutrition

Question 66

<20 % to 30%, below IBW

Answer 66

Moderate malnutrition

Question 67

Management of eating disorder involves? a) _______ management b) Behavior modification c) Psychotherapy d) may need hospitalization

Answer 67

Interdisciplinary